DR. DALLAS M RUSSELL MD NPI 1609879253

NPI Information

  • NPI: 1609879253
  • Provider Name: DR. DALLAS M RUSSELL, MD
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 790 MONTCLAIR RD
    STE 210
    BIRMINGHAM, AL
    ZIP 35213
  • Phone: (205) 595-3600

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NPI Details

DR. Dallas M Russell, MD is a specialist in Birmingham, AL. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. DR. Dallas M Russell, MD NPI is 1609879253. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

790 MONTCLAIR RD
STE 210
BIRMINGHAM, AL
ZIP 35213-966
Phone: (205) 595-3600
Fax: (205) 595-3663

The enumeration date for this NPI number is 5/27/2005 and was last updated on 3/20/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084N0400XPsychiatry & NeurologyNeurology12098ALABAMANo
2174400000XSpecialist12098ALABAMAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1DG6844MEDICARE PINALABAMA
282356MEDICARE PINALABAMA
3C74517MEDICARE UPINALABAMA
451082356MEDICARE PINALABAMA
55290002380MEDICAIDALABAMA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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